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BEST DISEASE:
It is an eye disease that is slowly progressive and usually starts becoming an issue when someone is a child or young adult
  • mainly a loss of central vision
  • the amount of vision loss varies
  • usually affects both eyes, but can exist in only 1 eye
  • has multiple stages:
  • Stage 0. Normal macula. Abnormal EOG
  • Stage 1. Retinal pigment epithelium (RPE) disruption in the macular region.
  • Stage 2. Circular, well-circumscribed, yellow-opaque, homogenous yolk-like macular lesion.
  • Stage 2a. Vitelliform lesion contents become less homogenous to develop a "scrambled-egg" appearance. Fluorescein angiogram (FA) shows partial blockage of fluorescence with a non-homogenous hyperfluorescence.
  • Stage 3. Pseudohypopyon phase. The lesion develops a fluid level of a yellow-colored vitelline substance. FA shows inferior hypofluorescence from the blockage by the vitelline material, along with superior hyperfluorescent defects.
  • Stage 4a. Orange-red lesion with atrophic RPE and visibility of the choroid. FA shows hyperfluorescence without leakage.
  • Stage 4b. Fibrous scarring of the macula. FA shows hyperfluorescence without leakage.
  • Stage 4c. Choroidal neovascularization with new vessels on the fibrous scar or appearance of subretinal hemorrhage. FA shows hyperfluorescence as a result of neovascularization and leakage.
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SYMPTOMS:
  • decrease in vision quality

TESTS USED TO IDENTIFY:
  • electro-oculogram (EOG)external image 8957_006.jpg which measures the resting potential of the retina
  • electroretinogram (ERG). The ERG measures electrical responses of the rods and cones in the retina as well as ganglion cells
  • optical coherence tomography (OCT). This test is used to create a cross section view of the retina. OCT findings change depending on the stage of the disease.

TREATMENT:
  • no treatments found*

INHERITANCE PATTERN:
  • autosomal dominant pattern